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Gustavo said: "When my wife, Antonia, fell and broke her hip I was shocked. You see, the same thing happened to her mother, but she was an old lady by then! Antonio is only 68, and she still seems young and beautiful -- at least to me. As soon as she is better her doctor wants to do some sort of a scan to see how thick her bones are. But I don't think she has that disease that everyone talks about! She has always watched her weight and been active with our kids and grandchildren. It's true she likes her coffee and diet colas, and doesn't drink milk, but that is not enough to make a person's bones fall apart, is it?"

Study the Table below. Risk FACTORS for Osteoporosis

Modifiable Risk Factors

Non-modifiable Risk Factors

Smoking

Older age (elderly)

Low body weight

Caucasian or Asian race

Low calcium intake

History of fractures as an adult

Low sum exposure

Family history of osteoporosis

History of amenorrhea (failure to menstrate) in women with inadequate nutrition

History of amenorrhea (failure to menstrate) in women with inadequate nutrition

Alcohol abuse

Gender (female)

Estrogen deficiency (females)

 

Repeated falls

 

Sedentary lifestyle

 

  1. What risk factors do not apply to Antonio?
  2. What risk factors do?
  3. Given what Gustavo said about his wife's nutrition and lifestyle, would you encourage her to have a DXA test? Why or why not?
  4. What DXA result would indicate Antonio was positive for osteoporosis?
  5. Given Antonio's apparent dislike for milk list foods and their calcium content that could provide a total of 1000 mg calcium. She does like cheese, most other beverages, fruits and vegetables.

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